1.How should the foreskin be cleaned?
On weekdays, if mom and dad pay more attention to the baby’s hygiene can reduce the chance of foreskin inflammation, in the end, how to clean to ensure that the baby foreskin hygiene? Over and under is not right. In the newborn stage, because the foreskin is closely wrapped around the glans, if you force the foreskin backward instead, it is easy to cause the foreskin to tear, bleeding and inflammation, so only external cleaning can be done.
After the age of 3 to 4, the penis and glans will grow and the opening of the foreskin will gradually loosen. When taking a bath, you can use a gentle and gradual way to move the foreskin backward and then wash it, so that not only can you achieve the purpose of cleaning, but at puberty you will also be prompted to retreat the foreskin to the coronal sulcus.
If the foreskin does not recede to its normal position during adolescence, localized foreskin cleaning becomes even more important. If the unpleasant odor will not be good, then you need to use a mild soap to clean it.
2, what situation needs to be circumcised?
1 Near the opening of the foreskin, there is a circle of tight foreskin. This kind of foreskin is still unable to turn over the foreskin even when it grows into youth, which not only affects penis development, but also tends to produce more serious foreskin problems. If the foreskin is barely opened, it can get stuck, causing a blockage of venous return and serious consequences such as swelling and pain of the foreskin, blackening of the glans and even necrosis. This is when emergency surgical treatment is needed to restore the foreskin to its original state. This condition may also be caused by a careless physician not turning back the foreskin after helping the patient to catheterize.
2 The circumcision is combined with recurrent foreskin inflammation. This is due to the narrow opening that cannot be cleaned.
3Severe circumcision can cause the opening of the foreskin to become obstructed, causing it to bulge like a balloon when urinating, and in severe cases, even causing urine to flow backwards, further damaging the kidneys.
4Circumcision is needed if there is melanin deposition on the foreskin or if there is foreskin sclerosis.
5 After puberty development, if the foreskin fails to develop to a normal state on its own, this can also be achieved manually. However
Doing so can cause local wetness and heat discomfort, and if not cleaned frequently may also cause odor or inflammation. There have been cases where the smell was still present even after washing the foreskin seven times a day, and the problem was not solved until after circumcision. For the sake of personal hygiene and future life, this case can be circumcised under local anesthesia.
3.Is circumcision safe?
Whether newborns should be circumcised or not is a long-discussed and still inconclusive topic. Some people feel that newborns have no pain at birth and can be operated at this time, but this concept is completely wrong. Newborns have pain sensation since birth, not as the legend says that the pain nerves have not yet developed, so circumcision can be painful.
Many physicians believe that the foreskin has a role in protecting the glans in infancy and early removal may cause chronic inflammation and narrowing of the urethra, but the above complications are, after all, a minority of a minority.
All in all, the question of whether or not to circumcise is best evaluated by an experienced pediatrician or urologist at a major hospital. If the condition requires, circumcision is still safe when performed by these physicians with anesthesia. It would be more ideal if it can be performed under local anesthesia after the age of 10 to 12.
4.What preparations should be made before the surgery?
Before the surgery, please wash your pubic area and wear loose clothing to the hospital. If you are going to receive general anesthesia, please ask your doctor what you need to be aware of beforehand. There are many surgical methods, mainly removing the excess foreskin from the glans and then suturing it to expose the glans and coronal sulcus. If too much foreskin is retained, adhesions to the foreskin and coronal sulcus may form later, creating a foreskin scalp. If too much foreskin is removed, it may cause painful erections later on, so you should talk to the hospital beforehand. To perform this surgery on your little one, you need to go to a regular hospital and be operated by an experienced physician. After the surgery, if the condition is stable, you can go home for care and nursing without hospitalization.
5.How to take care of after the surgery?
1Wipe with a clean towel instead of bathing, and do not touch the wound for 5-7 days. Diapered babies will inevitably be covered with urine, which requires mom and dad to change the diaper for the baby diligently.
2 A week after the surgery you can take a bath or shower, which will speed up the shedding of scabs on the surface of the glans. 2 to 4 weeks will generally be enough to heal.
3 Do not clean the scab by yourself, because a part of the baby’s foreskin is stuck to the epidermis of the glans, and these two parts will be peeled off during the operation. The glans epidermis will form a yellow scab 1 to 2 days after the surgery, like an epidermal abrasion, much like an inflammation. This is a normal phenomenon after surgery, so don’t clean these scabs by yourself, otherwise it will cause bleeding.
4 Generally speaking, the circumcision wound will heal in about 2 weeks. After the surgery, mom and dad should not wear too tight or non-breathable clothes for the baby to avoid friction or inflammation of the glans.